
staff - Registered Nurse (RN) - OR - Operating Room - $51-74 per hour in Aloha, OR
Job Description
Job Description & Requirements
• Specialty: OR - Operating Room
• Discipline: RN
• Start Date: ASAP
• Duration: Ongoing
• Employment Type: Staff
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Coordinates and provides utilization, disease and case management, and health coaching to health plan members. Applies substantial knowledge and experience to perform a wide range of advanced activities and/or determines how to use resources to meet schedules and goals; serves as working supervisor for team or work group.
Job Requirements:
Education and Work Experience:
• High School Education/GED or equivalent: Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
• Five years' related experience: Preferred
Facility Specific License/Certifications:
• Registered Nurse (RN) license in state of practice: Required
Essential Functions:
• Functions as liaison to members, providers, case coordinators, discharge planners, contracted health plans/partners and internal departments. Leads retrospective review process. Confirms orders utilizing established criteria.
• Enhances communication related to discharge planning and utilization management. Maintains effective communication with health care team members related to care coordination and utilization management. Performs ongoing collaboration with staff to ensure condition meets medical necessity criteria.
• Works collaboratively with physicians, staff and service line leadership on quality and performance improvement activities related to optimal utilization of resources, efficient delivery of high quality care, patient flow, capacity management and other clinical cost reduction initiatives.
• Ensures ongoing collaboration with staff to ensure condition meets medical necessity criteria. Communicates changes that could affect the discharge plan of care.
• Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Posted job title: health plan care management coordinator (or)
About Adventist Health
Adventist Health is a faith-based, nonprofit, integrated health system serving more than 80 communities on the West Coast and Hawaii with over 400 sites of care, including 26 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of 37,000 includes employees, physicians, allied health professionals and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness, and hope. We are committed to staying true to our heritage by providing patient-centered, quality care. Together, we are transforming the healthcare experience with an innovative and whole-person focus on physical, mental, spiritual and social healing to support community well-being.
Benefits
• Continuing Education
• Bereavement
• Medical benefits
• Dental benefits
• Vision benefits
• Health Care FSA
• 403b retirement plan
• Employee assistance programs
• Life insurance
• Holiday Pay
• 401k retirement plan
• Sick pay
• Health savings account
Job Details
Medical Speciality
Employment Type
Required License
Work Setting
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About Adventist Health Reedley
Adventist Health is a leading faith-based, nonprofit health system dedicated to providing patient-centered, quality care across over 80 communities on the West Coast and Hawaii. With a team of 34,000 compassionate professionals, including medical staff, allied health professionals, and volunteers, Adventist Health delivers care in hospitals, clinics, home care agencies, hospice agencies, and retirement centers. Inspired by Adventist heritage and values, their mission is to live God's love by promoting health, wholeness, and hope in individuals and communities. By offering an innovative whole-person approach encompassing physical, mental, spiritual, and social healing, Adventist Health is committed to transforming the healthcare experience and supporting community well-being. Privacy and security of patient information are paramount, reflecting their dedication to upholding the highest standards of care.




